Embed Size (px)
Citation preview
Monthly Report for March 2020 Indiana Trauma Registry
*As an expansion to my role I have been training Indiana coroners on the Indiana Coroner Case Management System (INCCMS) while continuing to train hospitals on the Indiana Trauma Registry.-Ramzi* March 5th Ramzi Nimry (Trauma and Injury Prevention Program Director) attended the Indiana Stroke Consortium of Indiana meeting via conference line. March 9th Ramzi Nimry (Trauma and Injury Prevention Program Director) trained Perry County on CCMS. March 18th Ramzi Nimry (Trauma and Injury Prevention Program Director) and Trinh Dinh (Data Analyst) attended the Indiana Registry Subcommittee, a subcommittee of the Indiana State Trauma Care Committee via conference line.
Completeness
Indiana Trauma Registry
Timeliness
The Hospital Discharge database, also maintained by the ISDH, contains all records of patients cared for in Indiana hospitals. We compared patient records from the ITR with the Hospital Discharge database to know how complete is the ITR’s data. The hospital discharge database is 72% complete.
The Indiana Trauma Registry (ITR) monthly report is a dashboard style report for the Indiana Criminal Justice Institute (ICJI) and
any other party concerned about trauma in Indiana. This report highlights the four data quality measures for the ICJI grant: com-
pleteness, timeliness, uniformity, integration and accessibility. This report uses data within the ITR, with an emphasis on motor ve-
hicle collisions (MVC).
Timeliness increases as facilities wait until the data submission deadline to submit data to the ITR. Hospitals are asked to report data on the national trauma (TQIP) reporting schedule. The average timeliness in the past year was 94 days.
Monthly Report for March 2020
Uniformity In March, we sent out the sixty-third monthly quiz for the inter-rater reliability study. There were 43 participants from 24 (19 % of hospitals with EDs in Indiana) hospitals who completed the quiz. The percent correct was 61% and the free-marginal kappa was 0.45. Activities to improve the uniformity of data include trauma registrar training throughout the state and at the Indiana State Department of Health.
Integration The number of linked EMS to trauma cases was 1,639 for Q3 2018 data. Trauma data are due on a quarterly basis.
Indiana Trauma Registry
Accessibility
There was one aggregate request (2 day on average) and one self-report (1 day on average) in February. There were no identifiable data requests.
Monthly Report for March 2020
March 2020 Indiana Trauma Registry ReportOverall Cause of Injury (COI)
April 2019 - March 2020: 26374 Incidents
Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport
Cause of Injury (COI)
23.1
57.4
5.4
2.1
9.6
0
10
20
30
40
50
60
% o
f T
ota
l Inc
ide
nts
Apr 2019 to Mar 2020
2019: 38748 Incidents
Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport
Cause of Injury (COI)
29.9
52.1
5.1
1.8
8.9
0
10
20
30
40
50
% o
f T
ota
l Inc
ide
nts
2019
COI-Motor Vehicle Collision (MVC)
April 2019 - March 2020: 4390 Incidents
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
COI-Motor Vehicle Collision (MVC)
69.1
19.5
6
2.2 3.2
0
20
40
60
% o
f M
VC
Fre
que
ncy
Apr 2019 to Mar 2020
2019: 9263 Incidents
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
COI-Motor Vehicle Collision (MVC)
83.1
10
3.40.9
2.6
0
20
40
60
80
% o
f M
VC
Fre
que
ncy
2019
March 2020 Indiana Trauma Registry Report
Motor Vehicle Collision: Nonfatal Incidents and Fatal Incidents
April 2019 - March 2020
UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)
89 44 18 8 1
Fatal Apr 2019 to Mar 20202943
812
246
90 139
Nonfatal Apr 2019 to Mar 2020
0
500
1000
1500
2000
2500
3000C
oun
t o
f In
cide
nts
2019
UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)
17348 18 7 1
Fatal 2019
7527
876
29680
237
Nonfatal 2019
0
2000
4000
6000
8000
Co
unt
of
Inci
dent
s
March 2020 Indiana Trauma Registry Report Overall Motor Vehicle Collisions (MVC) April 2019 - March 2020
Race
79.2
15.1
0.5 0.1 1.9 3.2
0
20
40
60
80
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
Age
9.3
73.7
17
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Gender
62.3
37.7
0
20
40
60
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
Drug & Alcohol Use
53
0.8
12.3
66.1
0
20
40
60P
erc
(S
um)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
Injury Severity Score
38.6
33.9
14.6
8.9
1.30.1
2.6
0
10
20
30
40
Sco
re F
req
uenc
yP
erc
ent
age
of
Inju
ry S
eve
rity
NO ISS7545-7425-4415-249-141-8
ISS Category
Injury Severity Score (ISS) is a measure of how bad the injury is. Scoresover 15 are considered major trauma. A score of 75 is considered notsurvivable.
Protective Devices
46.343.6
0.9
5.1
0.8
39.2
0
10
20
30
40
Use
Pe
rce
ntag
e o
f P
rote
ctiv
e G
ear
No Safety Equipment UsedProtective Clothing/Gear UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use
Protective Gear Use
March 2020 Indiana Trauma Registry ReportMotor Vehicle Collisions by Race
2019
81.5
13.3
0.6 0.3 1.7 2.7
0
20
40
60
80
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
April 2019 - March 2020
79.2
15.1
0.5 0.1 1.9 3.2
0
20
40
60
80
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
April 2019 - March 2020: MVC by Collision Type and Race
Motorcycle
86.7
10.6
0.4 0.5 1.9
0
20
40
60
80
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAsianBlack or African AmericanWhite
Race Category
Automobile
77.9
15.8
0.6 0.12.2 3.4
0
20
40
60
80P
erc
ent
age
of
Rac
e F
req
uenc
y
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
Bicyclist
83.7
16.3
0
20
40
60
80P
erc
ent
age
of
Rac
e F
req
uenc
y
Black or African AmericanWhiteRace Category
Pedestrian
65.2
25.4
0.83.4
5.3
0
20
40
60
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAmerican Indian or Alaska NativeBlack or African AmericanWhite
Race Category
March 2020 Indiana Trauma Registry ReportMotor Vehicle Collision by Age Category
2019
8.5
72.1
19.4
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Race
9.3
73.7
17
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
April 2019 - March 2020: MVC by Collision Type and Age Category
Motorcycle
1.6
91.1
7.2
0
20
40
60
80
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Automobile
10.1
69.4
20.5
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Bicyclist
22.4
67.3
10.2
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Pedestrian
18.9
70.5
10.6
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
March 2020 Indiana Trauma Registry ReportMotor Vehicle Collision by Gender
2019
56.7
43.3
0
10
20
30
40
50
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
Race
62.3
37.7
0
20
40
60
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
April 2019 - March 2020: MVC by Collision Type and Gender
Motorcycle
89.5
10.5
0
20
40
60
80
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
Automobile
54.4
45.6
0
10
20
30
40
50
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
Bicyclist
79.6
20.4
0
20
40
60
80P
erc
ent
age
of
Ge
nde
r F
req
uenc
y
FemaleMaleGender
Pedestrian
65.5
34.5
0
20
40
60
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
March 2020 Indiana Trauma Registry ReportMotor Vehicle Collision by Drug & Alcohol Use
2019
52.5
0.6
12.6
65.7
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
April 2019 - March 2020
53
0.8
12.3
66.1
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
April 2019 - March 2020: MVC by Collision Type and Drug & Alcohol Use
Motorcycle
58.5
0.6
15.2
74.3
0
20
40
60
80
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
Automobile
52.9
0.9
11.3
65
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
Bicyclist
48
19.4
67.3
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly Alcohol
Drugs or Alcohol Use
Pedestrian
51.5
0.8
15.9
68.2
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
March 2020 Indiana Trauma Registry ReportMotor Vehicle Collision by Injury Severity Score
2019
41
34.4
13.8
7.4
10.1
2.3
0
10
20
30
40
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
NO ISS7545-7425-4415-249-141-8ISS Category
April 2019 - March 2020
38.6
33.9
14.6
8.9
1.30.1
2.6
0
10
20
30
40
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
NO ISS7545-7425-4415-249-141-8ISS Category
Motorcycle: Jan 2019 - Dec 2019
30.6
37.5
16.9
11.3
2.2 1.4
0
10
20
30
40P
erce
ntag
e of
IS
S F
requ
ency
Fre
quen
cy
NO ISS45-7425-4415-249-141-8ISS Category
Automobile: Jan 2019 - Dec 2019
40.5
33.6
13.9
8.2
10.1
2.8
0
10
20
30
40
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
NO ISS7545-7425-4415-249-141-8ISS Category
Bicyclist: Jan 2019 - Dec 2019
32.7 32.7
25.5
7.1
2
0
10
20
30
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
45-7425-4415-249-141-8ISS Category
Pedestrian: Jan 2019 - Dec 2019
39
30.3
14.412.9
1.90.4 1.1
0
10
20
30
40
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
NO ISS7545-7425-4415-249-141-8ISS Category
March 2020 Indiana Trauma Registry ReportMotor Vehicle Collision by Protective Devices
2019
100
0
20
40
60
80
100
Use
Pe
rce
ntag
e o
f P
rote
ctiv
e G
ear
No Safety Equipment UsedProtective Gear Use
April 2019 - March 2020
46.343.6
0.9
5.1
0.8
39.2
0
10
20
30
40
Ge
ar U
seP
erc
ent
age
of
Pro
tect
ive
No Safety Equipment UsedProtective Clothing/Gear UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use
Protective Gear Use
April 2019 - March 2020: MVC by Collision Type and Protective Gear Use
Motorcycle
0.2 0.1
23
3.5
75.8
0
20
40
60
80
Ge
ar U
seP
erc
ent
age
of
Pro
tect
ive
No Safety Equipment UsedProtective Clothing/Gear UseHelmet UseSeatbelt UseAirbag Use
Protective Gear Use
Automobile
65.561.9
1.3 0.3 0.1
21.3
0
20
40
60G
ear
Use
Pe
rce
ntag
e o
f P
rote
ctiv
e
No Safety Equipment UsedProtective Clothing/Gear UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use
Protective Gear Use
Bicyclist
1
16.3
82.7
0
20
40
60
80U
seP
erc
ent
age
of
Pro
tect
ive
Ge
ar
No Safety Equipment UsedHelmet UseSeatbelt UseProtective Gear Use
Pedestrian
1.1
98.9
0
20
40
60
80
100
Use
Pe
rce
ntag
e o
f P
rote
ctiv
e G
ear
No Safety Equipment UsedHelmet UseProtective Gear Use
